Individual
SHERI LEE TEN BROEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
425 S 7TH ST, BISMARCK, ND 58504-5801
(701) 258-8388
(701) 258-8788
Mailing address
425 S 7TH ST, BISMARCK, ND 58504-5801
(701) 258-8388
(701) 258-8788
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
602
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13052
BCBS
ND
05
—
18463
—
ND
Enumeration date
08/12/2006
Last updated
08/24/2007
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